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目的探讨贲门癌术后胃瘫的临床诊治方法。方法对我院2001年1月～2006年12月收治的贲门癌术后胃瘫18例的临床资料进行回顾性分析。结果本组经胃肠减压,营养支持,维持水、电解质代谢平衡及促进胃肠动力药物等治疗后均得以缓解。结论贲门癌术后胃瘫的诊断主要依据临床表现;胃镜检查有其重要价值;排除机械性梗阻后应积极采取非手术治疗,不应盲目再次手术。
Objective To investigate the clinical diagnosis and treatment of gastric cardia after cardia cancer surgery. Methods The clinical data of 18 cases of postoperative gastric cardia paralysis treated in our hospital from January 2001 to December 2006 were retrospectively analyzed. Results This group was relieved by gastrointestinal decompression, nutritional support, maintaining water and electrolyte balance and promoting gastrointestinal motility drugs. Conclusions The diagnosis of gastric cardia after cardia cancer is mainly based on the clinical manifestations. The gastroscopy has its important value. Non-surgical treatment should be taken actively after excluding mechanical obstruction, and should not be blindly reoperated.